PN Fundamentals Exam

Extract:

Question 1 of 5

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?

A. Document the refusal in the client's medical record. B. Return the medication to the medication cabinet. C. Inform the client of the potential consequences of their refusal. D. Notify the provider of the client's refusal.

Correct Answer: C

Rationale: Informing about consequences educates the client, aiding informed choice; it’s the first step.
Choice A follows discussion.
Choice B is procedural, not immediate.
Choice D is later if refusal persists.

Question 2 of 5

A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?

A. Have the client sign an against medical advice form. B. Tell the client that the surgeon will prescribe restraints if they try to leave. C. Explain to the client that they cannot leave until the surgeon discharges them. D. Administer a sedative medication to the client.

Correct Answer: C

Rationale: Explaining discharge protocol ensures safety and informs the client, respecting autonomy.
Choice A is premature without discussion.
Choice B is unethical.
Choice D violates ethics without justification.

Question 3 of 5

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

A. The sides of the sling are for the client to hold on to. B. The lower end of the sling goes below the client's calves. C. This type of device is used for a client who cannot assist. D. The device requires the client to use upper body strength.

Correct Answer: C

Rationale: The lift is for clients unable to assist, showing understanding.
Choice A is false; sides are for attachment.
Choice B varies by lift type.
Choice D is incorrect; the lift supports, not the client.

Question 4 of 5

A nurse is preparing to clean a blood spill on a bedside table. Which of the following solutions should the nurse plan to use?

A. Chlorine bleach B. Chlorhexidine gluconate C. Hydrogen peroxide D. Isopropyl alcohol

Correct Answer: A

Rationale: Chlorine bleach effectively disinfects bloodborne pathogens per guidelines.
Choice B is for skin, not surfaces.
Choice C is less effective for blood spills.
Choice D is limited against some pathogens.

Question 5 of 5

A home health nurse is reinforcing teaching about dietary needs with the child of a client. They state, 'I don't know what to do because they're not eating.' Which of the following responses should the nurse make?

A. I'm sure it's nothing serious and their appetite will return soon. B. Tell me more about what happens at mealtime. C. Why do you think they're not eating? D. They may need a feeding tube.

Correct Answer: B

Rationale: Asking about mealtime gathers details for tailored advice, addressing the concern.
Choice A dismisses the issue.
Choice C burdens the child.
Choice D is premature without assessment.

PN Fundamentals Exam | Nurselytic

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